| NPI | 1538606009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175915) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131930) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2025-01-27 |