| NPI | 1851025589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1081769) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC004824) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185355) | |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2023-06-06 |