| NPI | 1457104564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 228158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 927570) |
| 163W00000X Registered Nurse (Licence: AR R08131) | |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-24 |