| NPI | 1104133065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13423930-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9552826) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 870445) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32187) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-12-10 |