| NPI | 1497883169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71016469A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN12062) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-05-02 |