| NPI | 1417109919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9336178) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F4011141) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005385) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-11-17 |