| NPI | 1598117434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G165850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 5928365-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114138) | |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2022-06-13 |