| NPI | 1871841411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R60073) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM R60073) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-04-03 |