| NPI | 1861707549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G182026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-92752-092) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2024-12-27 |