| NPI | 1518575893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 20220021049) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020021049) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 79572) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-07-14 |