| NPI | 1700088788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 39110 2195) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 39110 2195) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: LA 39110 2195) | |
| Enumeration Date | 2007-06-02 |
| Last Update Date | 2011-04-11 |