| NPI | 1275875122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1073754) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 303207-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404785) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 14059) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2025-02-03 |