| NPI | 1174829634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A003513) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AR R68406) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-08-30 |