| NPI | 1992322168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95020783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 239561) |
| 363L00000X Nurse Practitioner (Licence: TX AP144671) | |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2022-10-05 |