| NPI | 1568784999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10850) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 728180) |
| 363L00000X Nurse Practitioner (Licence: TX AP119033) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2024-07-02 |