| NPI | 1750932430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R209751) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1048146) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184792) | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-08-10 |