| NPI | 1013585595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-176103) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024181066) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 176207) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-07-16 |