| NPI | 1134680093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6641648-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6641648-3102) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-03-13 |