| NPI | 1487124004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1020085) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403498) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP026833) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2025-10-18 |