| NPI | 1528337607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007271) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.15280) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125091) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007271) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 013652) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2023-09-04 |