| NPI | 1225238900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6287) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402151) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP009464) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-10-14 |