| NPI | 1568834984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130325) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N360926752) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9308697) | |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2020-02-02 |