| NPI | 1679915532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 28740) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127891) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA Rn2277632) | |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2024-09-25 |