| NPI | 1821795626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 290143) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 67107) |
| 363LP1700X Nurse Practitioner, Perinatal (Licence: TX 1073322) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-06-18 |