| NPI | 1083815336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1156113) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 660379) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 699413) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-03-27 |