| NPI | 1841976784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1126446) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61474365) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 299031) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-05-26 |