| NPI | 1588975452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 286639) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61176082) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1032493) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2024-07-31 |