| NPI | 1477211332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1054321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248376) |
| 163W00000X Registered Nurse (Licence: CA 95259776) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 1054321) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-02-27 |