| NPI | 1558973032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1100598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 875056) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-05-20 |