| NPI | 1366065104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9559718) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 245674) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145602) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-02-12 |