| NPI | 1316632920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1113513) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.027495) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100612-C-NP) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-10-02 |