| NPI | 1871735068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 2014029878) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 2008001301) |
| 363L00000X Nurse Practitioner (Licence: NC 218478) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2016-07-22 |