| NPI | 1386096717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 209372) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-03-30 |