| NPI | 1649612862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 97007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0204712) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2024-05-23 |