| NPI | 1033443700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 859245) |
| 363L00000X Nurse Practitioner (Licence: WI 3845-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 3845-33) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2022-08-15 |