| NPI | 1043290638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE LE0000128) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: DE LE0000128) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-10-11 |