| NPI | 1871194290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1096155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 959808) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2023-01-03 |