| NPI | 1336761253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012162A) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 1136348) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015334) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2022-02-09 |