| NPI | 1356510598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 4388033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00700) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NM R33850) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 175244030) | |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2011-05-20 |