| NPI | 1457010472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1059430) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101635-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010576) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 115263) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83027-041) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN3447) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2025-12-08 |