| NPI | 1134105364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: UT 345768-4405) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: UT 345768-3102) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2022-12-02 |