| NPI | 1417900507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R237865) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45773) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 1368499032) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2024-08-20 |