| NPI | 1659013332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 275580) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071834) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404280) | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-06-18 |