| NPI | 1891305595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006402) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 00001078) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 00002324) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-11-10 |