| NPI | 1285244350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006416) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018615) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184207) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-05-05 |