| NPI | 1952407728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04767) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA RN100054) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP04767) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-07-14 |