| NPI | 1730530536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-106419) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-106419) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2018-06-16 |