| NPI | 1043093198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1095310) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2382379) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 71378) | |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |