| NPI | 1396222907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R204254) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R204254) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-09-13 |