| NPI | 1538477369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11006978) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 1566187) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 4450) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-09-03 |