| NPI | 1013960707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A01364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR a01364 ANP) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-08-19 |