| NPI | 1275543613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD R015409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP000472) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP000472) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-10-15 |