| NPI | 1578963088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9456593) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126283) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007428) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2018-09-19 |