| NPI | 1447966262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1099356) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 74683) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101005-C-NP) | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2025-12-12 |