| NPI | 1437540846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 80299) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015003914) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004397) | |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2021-06-28 |