| NPI | 1497857932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 111854) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4156) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010355) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2019-04-19 |