| NPI | 1518537075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1172555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 978915) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 315310) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61613678) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-10-28 |