| NPI | 1245451012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 12675) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 12675) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 81901) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100243-C-NP) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-03-01 |