| NPI | 1760929152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9981) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020029685) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-77526-082) | |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-07-27 |