| NPI | 1821492869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC 19683) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R172248) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 20597) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2020-06-04 |