| NPI | 1437312600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA TP006882C) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: PA RN319819L) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |