| NPI | 1235527144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 285428) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN232719) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1034108) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN232719) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2023-03-22 |