| NPI | 1548561160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11021240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 30728) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-06-19 |