| NPI | 1174299127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1055727) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 776973) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2022-04-22 |