| NPI | 1811969744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9191721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9191721) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2008-03-28 |