| NPI | 1962722785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 203551) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN124656) |
| 363L00000X Nurse Practitioner (Licence: LA AP203551) | |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2021-10-29 |