| NPI | 1770680670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 11691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 148420) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10998) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-10-22 |