| NPI | 1801988456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD CP000343) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SD R020896) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |