| NPI | 1427443894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5017916) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401678-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21983) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-04-15 |