| NPI | 1326763038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022043472) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12140) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-82094-041) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 315409) | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2025-04-02 |