| NPI | 1396098455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002650) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402897) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124349) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2022-09-06 |