| NPI | 1871783233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5001913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 005001913) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NC 005001913) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2015-05-18 |