| NPI | 1366478133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2013028356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 133516) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2012041460) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45991) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2021-09-10 |