| NPI | 1801431721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 212811) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26594) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903595) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-09-09 |