| NPI | 1699305870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 215675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 912132) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-02-08 |