| NPI | 1376208355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018797) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1083735) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30429) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2025-01-14 |