| NPI | 1588325492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10484955-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10484955-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023525) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023525) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2023-12-06 |