| NPI | 1265026868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1152876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 843955) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-02-21 |