| NPI | 1245629229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 7199054-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7199054-3102) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-01-17 |