| NPI | 1336454909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AA119196) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209027980) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 683709) | |
| 363L00000X Nurse Practitioner (Licence: TX 10368) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2024-02-08 |