| NPI | 1073869558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 128371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 879864) |
| 163WE0003X Registered Nurse, Emergency (Licence: FL 9355375) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-09-05 |