| NPI | 1649581992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP123741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000151201) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006380) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 15157) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0024170526) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2022-11-30 |