| NPI | 1255648051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127119) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R26473) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 868542) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2020-12-04 |