| NPI | 1114533130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1079593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 843718) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 278657) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61359831) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-07-05 |