| NPI | 1265514426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP01245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN080255) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-11-20 |