| NPI | 1528217346 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9192520) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9192520) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027496) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX APRN.CNP.1042684) | |
| Enumeration Date | 2008-09-17 | 
| Last Update Date | 2022-08-28 |