| NPI | 1891430054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1090649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1090649) |
| 163W00000X Registered Nurse (Licence: TX 780382) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-10-04 |