| NPI | 1710599204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1033098) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2020026237) |
| 208D00000X General Practice (Licence: TX 1033098) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020026237) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MO 2020026237) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-07-16 |