| NPI | 1376276618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1130132) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: TX 954707) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX 1130132) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-08-01 |