| NPI | 1568838936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 57899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-77692) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-12-21 |