| NPI | 1194795351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP133066) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX AP133066) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ARNP9179348) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MT NUR-APRN-LIC-198645) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ID 74372) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9179348) | |
| 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-198645) | |
| 363LF0000X Nurse Practitioner Family (Licence: ID 74372) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-12-15 |