| NPI | 1831837384 |
|---|---|
| Professional Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68770) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 809731) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2024-06-25 |