| NPI | 1871138677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 621025) |
| 363L00000X Nurse Practitioner (Licence: TX AP142299) | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-11-17 |