| NPI | 1720337264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 17982) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25149) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014214) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-03-20 |