| NPI | 1710670864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R185973) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018627) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27528) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010474) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-09-28 |