| NPI | 1932312030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN686086) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI NPP37565) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-07-22 |