| NPI | 1194933507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20752) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13282) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167709) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-05-20 |