| NPI | 1932206265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 37356) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WV 37356) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-08-29 |