| NPI | 1154964849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012789) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61145520) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1019705) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2024-01-22 |