| NPI | 1811544000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142730) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61471066) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 63027) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-10-14 |