| NPI | 1336900992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 00211488897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024188897) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 4015127) | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-08-01 |