| NPI | 1447254438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 300139) |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine (Licence: NC 300139) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 75702) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2015-09-15 |