| NPI | 1538440094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP06504) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP06504) |
| 363L00000X Nurse Practitioner (Licence: LA 120837) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-06-02 |