| NPI | 1538627781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25768) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 221247) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1150178) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903306) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 267709) | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-05-01 |