| NPI | 1477949576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 240639) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-09-29 |