| NPI | 1285148585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005380) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2020-09-09 |