NPI | 1326521543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28201) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 0000Intern) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2025-04-15 |