| NPI | 1467431783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX J6863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX J6863) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2011-02-24 |