| NPI | 1407623440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36223) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0035514) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1159442) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-10-02 |