| NPI | 1497968101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R 72401) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021008266) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-09-19 |