| NPI | 1902339096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP133708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133708) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0001338) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020061) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-09-18 |