| NPI | 1194183137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 249010) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN f0116574) |
| 363L00000X Nurse Practitioner (Licence: TN 20988) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 834633) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1142764) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2024-11-20 |