| NPI | 1356598619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004946) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 46254) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2023-09-13 |