| NPI | 1578692034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 491) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 491) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-01-19 |