| NPI | 1861177198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10849760-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10849760-3102) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10849760-8900) | |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |