| NPI | 1538741426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 840834) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11012935) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 257483) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1036055) | |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-11-07 |