| NPI | 1669407698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00677) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NM R32902) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-09-11 |