| NPI | 1558816223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10341276-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2310395) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-05-22 |