| NPI | 1962988253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R098716) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-13 |