| NPI | 1417436692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1020286) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404135) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2323250) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-11-25 |