| NPI | 1396295044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 239164-9) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 839596) | |
| 363L00000X Nurse Practitioner (Licence: MN 4796) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP 4796) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-03-11 |