| NPI | 1659759371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G171404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 137993) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-12-05 |