| NPI | 1326542523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP137027) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 205617) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704410786) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-07-12 |