| NPI | 1457017030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1058669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 864779) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NM cs00231176) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 864779) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 864779) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX 864779) | |
| 171000000X Military Health Care Provider | |
| 174400000X Specialist (Licence: TX 2021100078) | |
| 363L00000X Nurse Practitioner (Licence: TX 41626) | |
| 363L00000X Nurse Practitioner (Licence: NM 5206) | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-01-19 |