| NPI | 1295190353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP129717) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402955) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8901) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-07-29 |