| NPI | 1366093692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX API43884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 783428) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2495905) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-03-15 |