| NPI | 1366086365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13644260-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 57644) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM 57644) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-01-10 |