| NPI | 1801245998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61228405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131038) |
| 363L00000X Nurse Practitioner (Licence: TX 804973) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131038) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 804973) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-09-20 |