| NPI | 1083784797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G090393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 090393) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-10-21 |