| NPI | 1851457238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4027026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 686590) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-08-30 |