| NPI | 1295376945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 251491) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 31845) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap143361) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-10-30 |