| NPI | 1477536712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9330605) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A01109) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9330605) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2014-04-04 |