| NPI | 1639362536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 078554) |
| 163W00000X Registered Nurse (Licence: TX 908240) | |
| 163W00000X Registered Nurse (Licence: CA 735072) | |
| 363L00000X Nurse Practitioner (Licence: CA 18505) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003690) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003690) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3052) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 003690) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2019-12-20 |