| NPI | 1932636990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R229471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000217499) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2019-10-22 |