| NPI | 1669033791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1076154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 925924) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 70333) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004642-C-NP) | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2023-01-10 |