| NPI | 1699907766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 16559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 170482) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2017-03-09 |