| NPI | 1326710856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11024124) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 51369) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34591) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1113823) | |
| Enumeration Date | 2021-10-03 |
| Last Update Date | 2023-10-24 |