| NPI | 1972964229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA AP08681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP08681) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1019032) | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2022-03-01 |