| NPI | 1366607509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP03512) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: LA RNo41183 AP03512) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-05-23 |