| NPI | 1962817833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 631215) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030292) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1030292) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-09-04 |