| NPI | 1972936904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9398002) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4011314) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71004553A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 115613) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-09-24 |