| NPI | 1891987400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: SC APN.27598) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 544266) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP116192) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-09-13 |