| NPI | 1992907372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT RN20513 MT) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN20513) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-03-07 |