| NPI | 1417583030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003676) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 828007) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1034088) | |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2022-06-08 |