| NPI | 1679960785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 902569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R889344) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: MS R889344) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2020-01-10 |