| NPI | 1013020643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK R0105058) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 227609) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 227609) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-02-19 |