| NPI | 1619608924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1105878) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11030722) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 940041) | |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2024-06-26 |