| NPI | 1932386125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R048876) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX AC000494) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401691) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2017-03-21 |