| NPI | 1689748840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP9315299) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NE ARNP110437) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9315299) | |
| 363L00000X Nurse Practitioner (Licence: AK APN 1415) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-02-20 |