| NPI | 1629003900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: UT 210497-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 2104974405) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-02-28 |