| NPI | 1336648625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134973) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G182880) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP241823) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68189) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023024692) | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2026-06-23 |