| NPI | 1396460010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1095930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 946888) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |