| NPI | 1992951768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-109071) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: AL 1-109071) |
| 363L00000X Nurse Practitioner (Licence: AL 1-109071) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2015-10-13 |