| NPI | 1083360945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 49705) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO c-rxn-0002051-c-np) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071804) | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-04-15 |