| NPI | 1720457427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 7666569-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7666569-3102) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2019-02-27 |