| NPI | 1336646975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 53572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 106689) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 53572) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-03-01 |