| NPI | 1376205856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1052592) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61548223) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13046) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404528) | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-05-06 |