| NPI | 1619028578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 110796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 46338) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-04-24 |