| NPI | 1487380929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1087437) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0004650) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3018229) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-05-23 |