| NPI | 1538154299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp007417) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sp011509) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-09-25 |