| NPI | 1417137241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 178903) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 18957) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 178903) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2013-06-26 |