| NPI | 1548325640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 93299) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-06-05 |