| NPI | 1346355989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 9353) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 001530) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT E57646) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-02-26 |