| NPI | 1548760002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1159759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 852797) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 310586) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-08-07 |