| NPI | 1992443873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30774) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 285329) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G172246) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10017042) | |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2023-10-30 |