| NPI | 1790433860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1073426) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61437110) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026430) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10845) | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2025-12-09 |