| NPI | 1407291909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 682414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 682414) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 682414) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2018-12-10 |