| NPI | 1548052590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70009507) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1046157) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104354-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 85234) | |
| Enumeration Date | 2025-05-17 |
| Last Update Date | 2025-09-18 |