| NPI | 1124642327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1014537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 891088) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2021-03-11 |