| NPI | 1689126385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2023153016) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP130887) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-08-11 |