| NPI | 1922505908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202108997NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP137139) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11396) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-04-22 |