| NPI | 1356679641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 376041-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 376041-4405) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2024-04-25 |