| NPI | 1356490635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 940086) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940086) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-02-26 |