| NPI | 1447728019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 200371) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11284) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73982) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2025-09-15 |