| NPI | 1659026672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1116163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099503) |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-02-15 |