| NPI | 1316152697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704379141) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 164447) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3005301) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 13367) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-12-03 |