| NPI | 1629719083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1074269) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61398348) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4051773) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32561) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2026-05-18 |