| NPI | 1588673925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R126942) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R126942) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD r126942) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-06-27 |