| NPI | 1568191252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1096937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 886256) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 279587) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-02-02 |