| NPI | 1578723300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: HI APRN628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN45020) |
| 363LF0000X Nurse Practitioner Family (Licence: HI APRN628) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-11-18 |