| NPI | 1427489822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-157587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5618-33) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-04-02 |