| NPI | 1235620402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008513) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13845) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX PA13845) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-09-10 |