| NPI | 1548220767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 024851-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 024851-23) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-01-22 |