| NPI | 1194273565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007447) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141672) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61413619) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 901683) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-07-03 |