| NPI | 1518194299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A14056) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 300149) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2018-06-28 |