| NPI | 1417574278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1033630) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NM RN-80801) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 60947) | |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2024-09-12 |