| NPI | 1891930533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001345) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401168-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4867) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-02-06 |