| NPI | 1770897860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS 789956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R789956) |
| 363LF0000X Nurse Practitioner Family (Licence: MS R789956) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2020-12-03 |