| NPI | 1861183386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 76270) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1141317) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 958463) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-05-15 |