| NPI | 1790065068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2011027232) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011027232) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-77463-092) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 218276) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-10 |