| NPI | 1457860561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP142297) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ AP10600) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-02-08 |