| NPI | 1265000756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6202189-4405) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2022-03-15 |