| NPI | 1891432597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1087904) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017688) |
| 163W00000X Registered Nurse (Licence: TN 0000095880) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2023-11-11 |