| NPI | 1538185202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 600136) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 186087) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-08-02 |