| NPI | 1235757014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP1018364) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1018364) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026590) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-08-29 |