| NPI | 1629397161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-01982) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 3811) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004845) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2012-09-11 |