| NPI | 1598434623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC MO7643352) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056663) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD ACO04315) | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2023-01-10 |