| NPI | 1588079180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1095095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 747386) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2023-05-15 |