| NPI | 1396067906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015003170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 154542) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2020-12-30 |