| NPI | 1700113156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9636) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS R864520) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126125) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2018-07-06 |