| NPI | 1336732197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 256479) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1026507) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019944) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202113376NP) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-11-01 |