| NPI | 1457547127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 16783.0218) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 13783.0218) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2015-11-23 |