| NPI | 1487363289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1114992) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0102750-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 77156) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10015521) | |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-11-19 |