| NPI | 1265055511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006418) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 880729) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11016275) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-09-22 |