| NPI | 1790384279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 282708) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10001250) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016408) | |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2024-06-06 |