| NPI | 1831722966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194780) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024179054) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-06-10 |