| NPI | 1073026191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007714) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN274096) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-154446) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 226301) | |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2025-06-06 |