| NPI | 1699150888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1040961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 755895) |
| 363L00000X Nurse Practitioner (Licence: TX 1040961) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2023-12-26 |