| NPI | 1336936384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4035277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4035277) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016598A) | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-05-29 |