| NPI | 1487375010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 830624) |
| 163W00000X Registered Nurse (Licence: OR 202209779RN) | |
| 163W00000X Registered Nurse (Licence: NY 404397) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 350222) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145765) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404397) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202213193NP-PP) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |