| NPI | 1447746938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1032954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1032954) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95009391) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 025582) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009391) | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2025-05-13 |