| NPI | 1154340834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 122942) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MA 122942) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-09-10 |