| NPI | 1740850932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1019895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 792498) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1019895) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-04-01 |