| NPI | 1821379561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 203904) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 537097) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121457) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-04-21 |