| NPI | 1144818139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404099) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX 1021153) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1021153) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 404099) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-11-27 |