| NPI | 1407283294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 253611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28170338A) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 253611) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180647) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004709A) | |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2022-11-01 |