| NPI | 1326046707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 5606) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TN 5606) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-10-02 |