| NPI | 1073061321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 816790APRN-CNP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP161125) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME 161125) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-12-18 |