| NPI | 1740797133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140019) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 204104) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 23867) | |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2023-10-23 |