| NPI | 1316334568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-82586-122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 770987) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 551117) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82586-122) | |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2024-02-01 |