| NPI | 1962726349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-01581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R46396) |
| 163W00000X Registered Nurse (Licence: NM CNS-00216) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2020-07-01 |