| NPI | 1659794535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 897968) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 897968) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH RN.349001-COA1) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-03-18 |