| NPI | 1851537187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R184776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1011801) |
| 163W00000X Registered Nurse (Licence: MD T20081753) | |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2011-07-11 |