| NPI | 1912971425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G147717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2061062) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2061062) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-04-10 |