| NPI | 1063799856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4254) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP126190) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024177015) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2023-05-24 |