| NPI | 1700436375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 232042) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0001651-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 927043) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-08-24 |