| NPI | 1194407403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1130602) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1130602) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX 1130602) | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-09-10 |