| NPI | 1770004822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 240436) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-03-06 |