| NPI | 1679824973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-135397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-135397) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-135397) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2022-10-06 |