| NPI | 1417785502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1163059) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 959213) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-09-26 |