| NPI | 1528604063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1068053) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 956975) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1068053) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-10-19 |