| NPI | 1659887297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 45146) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 58269) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10665) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 45146) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-03-15 |