| NPI | 1972847515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1021681) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0003457-C-NP) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403623) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 263319) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2023-08-08 |