| NPI | 1093760167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3709) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009026) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400916) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304376) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-11-08 |