| NPI | 1932611225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010655) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136440) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60923286) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402345) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-01-31 |