| NPI | 1457333239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 47737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF10055) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167721) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 47737) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 47737) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2015-08-07 |