| NPI | 1316248354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 15282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15282) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 305486) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2024-09-02 |