| NPI | 1679084610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028547) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61147991) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135506) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-09-26 |