| NPI | 1770742371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1102074) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2467505) |
| 163W00000X Registered Nurse (Licence: MI 4704396492) | |
| 163W00000X Registered Nurse (Licence: TX 854226) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: IN 28209224A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71014846) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 395743) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11392) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-04-26 |