| NPI | 1700373115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30562) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022775) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904963) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2022-11-09 |