| NPI | 1174579460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP008846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA UP006280C) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-12-01 |