| NPI | 1558806745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 22082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22082) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-10-01 |