| NPI | 1487972345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 15830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 173200) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-03-04 |