| NPI | 1811661457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1032215) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 273610) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 842869) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G168214) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 67294) | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-11-13 |