| NPI | 1861705139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 40125) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 088006656N6) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004187) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |