| NPI | 1558727560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901383) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 869412) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08693) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2021-05-25 |