| NPI | 1992172308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R201326) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-84207-102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L5-0000082) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2025-05-01 |