| NPI | 1962656348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN196128) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145828) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN196128) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2024-06-13 |