NPI | 1356808901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1116542) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 230297) |
Enumeration Date | 2019-03-01 |
Last Update Date | 2025-07-15 |