| NPI | 1417124033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-90432) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2023-11-21 |