| NPI | 1356019897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1052830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 30071) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0101010) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10019767) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-09-04 |