| NPI | 1780131318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R43507) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: ND R43507) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-01-26 |