| NPI | 1124387857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20144) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172778) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28175679A) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2016-06-17 |