| NPI | 1942503834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178774) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 703524) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP119602) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2020-06-04 |