| NPI | 1730335506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2012033105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006003903) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2012-09-28 |