| NPI | 1225115009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003415) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT R50002) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128952) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128952) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-03-05 |