| NPI | 1841777000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP138130) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: TX AP138130) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-01-31 |