| NPI | 1982630778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 71337) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127903) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 45871) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10822) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-07-22 |