| NPI | 1639766199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1023087) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003755-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403381) | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-08-07 |