| NPI | 1770142465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 56793) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141753) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TX AP141753) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10356) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-02-22 |