| NPI | 1144982398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1071545) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 785664) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 785664) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-02-25 |