| NPI | 1134990609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1167266) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1167266) |
| 163W00000X Registered Nurse (Licence: OH 519418) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-07-29 |