| NPI | 1851099329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1100347) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704399698NSA2300J) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 74870) | |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-11-06 |