| NPI | 1538281134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 0050-02508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 005002508) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-02508) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-11-03 |