| NPI | 1730781824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD AC004143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 924503) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1028635) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC NP200005127) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN299890) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-08-08 |