| NPI | 1194884429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024166084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166084) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-00018) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-00018) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-09-30 |