| NPI | 1962292656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 24103958) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0105465-C-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 103382-875) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704435013) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2026-01-05 |