| NPI | 1154045789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1075246) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61358770) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 283038) | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-08-02 |