| NPI | 1902321524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 218964) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002712-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136092) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136092) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2023-11-09 |