| NPI | 1922208685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 089003200N6) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4299) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN-1816) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2022-07-21 |