| NPI | 1285398008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 66579) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056003) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61357591) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-11-18 |