| NPI | 1528725488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 272029) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 207726) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61266450) | |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2022-08-27 |