| NPI | 1043427552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 1469) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1469) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 199211) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 199211) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-03-31 |