| NPI | 1881278240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1036136) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 271691) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM 65254) | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-12-30 |