| NPI | 1881464246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1134383) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: TX 754934) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-04-10 |