| NPI | 1255968681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 7453288-8900) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 7453288-3102) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-02-23 |