| NPI | 1124612684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP1154144) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 826532) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2024-07-11 |