| NPI | 1821316399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013955) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21222) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140082) | |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2024-02-02 |