| NPI | 1083200661 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95029385)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1154111)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999600-NP)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11031666)  | |
| Enumeration Date | 2020-12-17 | 
| Last Update Date | 2025-09-05 |