| NPI | 1598174633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126023) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177311) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC002849) | |
| Enumeration Date | 2014-08-02 |
| Last Update Date | 2019-09-12 |