| NPI | 1275195570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1158956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 966581) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-07-03 |