| NPI | 1285736942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP1698872) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP1698872) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-17 |