| NPI | 1144791567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61607537) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139936) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95035501) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2025-08-06 |