| NPI | 1093717894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-091584) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-09158) |
| 363L00000X Nurse Practitioner (Licence: AL 1-091584) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-03-11 |