| NPI | 1366688186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1061485) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 652148) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2024-07-19 |