| NPI | 1376579599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 850843) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MS R850843) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MS R850843) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-03-21 |