| NPI | 1982655338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 505067) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-12-26 |