| NPI | 1487750097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 028524-23) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 028524-23-08) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2021-03-18 |