| NPI | 1851794374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71005842A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3008940) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71005842A) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-07-13 |