NPI | 1053136721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 326549) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032373) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076553) | |
Enumeration Date | 2024-11-18 |
Last Update Date | 2025-09-05 |