| NPI | 1740809755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019060672) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 236374) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-79344-042) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2025-08-15 |