| NPI | 1629309018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 24063) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3012363) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-117650) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2024-12-19 |