| NPI | 1114027760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL arnp1347962) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp1347962) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |