| NPI | 1659042844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1057466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 897183) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202114666RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202114948) | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2024-07-30 |