| NPI | 1851772107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134020) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 980339) |
| 163W00000X Registered Nurse (Licence: CA 95312747) | |
| 163W00000X Registered Nurse (Licence: MD R185418) | |
| 163W00000X Registered Nurse (Licence: DC RN1036685) | |
| 363L00000X Nurse Practitioner (Licence: MD R185418) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11007744) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R185418) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2022-12-08 |