| NPI | 1205288628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 7662744-8900) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 7662744-4405) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2023-03-16 |