| NPI | 1932357985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R101981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD R101981) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2019-05-17 |