| NPI | 1942693346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R47317) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6431) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 116729) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19461) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 136054) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2022-02-25 |