| NPI | 1992071559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 81726588900) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: UT 8172658-3102) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2021-03-12 |