| NPI | 1467944561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP137303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP137303) |
| 363LF0000X Nurse Practitioner Family (Licence: NY 346159) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 403910) | |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2022-10-13 |