| NPI | 1619477981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142651) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11037134) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142651) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 319262) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP031955) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15269300) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406514) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2025-12-09 |