| NPI | 1649232802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP111643) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 689893) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2024-01-24 |