| NPI | 1538533906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 327559) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP130155) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 9971369) | |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2025-08-01 |