| NPI | 1518209196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP1268A) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: ID 1268A) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ID N-25920) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-02-05 |