| NPI | 1609873355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP00722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00722) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM R34642) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-05-13 |