| NPI | 1922366178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 004965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004945) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-09-05 |