| NPI | 1497318695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 935528) |
| 163W00000X Registered Nurse (Licence: CA 95339523) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 285490) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076262) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-10-24 |