| NPI | 1922184332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP-2885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN092768) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-06-08 |