| NPI | 1639761232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1031048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 911346) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 206364) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 260140) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 63121) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2024-06-16 |