| NPI | 1194023762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06320) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06320) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2019-01-10 |