| NPI | 1821672593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G189141) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 16799) |
| 163W00000X Registered Nurse (Licence: TX 1030047) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030047) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 41165) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2026-07-20 |