| NPI | 1447994728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1077304) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 50944) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0004607) | |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2024-04-15 |