| NPI | 1639562093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA NP95013176) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2008005365) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 898960) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015005077) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130589) | |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-05-31 |