| NPI | 1134689078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 289319) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 72660) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1099241) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-06-20 |