| NPI | 1043738263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 4009534) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 9812) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71007599A) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-12-11 |