| NPI | 1861986986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 814209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136863) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO CAPN0001350) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-06-20 |