| NPI | 1245345669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SPO11573) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP3085972) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-08-25 |