| NPI | 1841557428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 23185) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: NC 5005585) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5005585) | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2013-10-28 |