| NPI | 1326234097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008547) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00141700) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002870-C-NP) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2021-09-29 |