| NPI | 1477925345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R187100) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MD R187100) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2020-10-20 |