| NPI | 1902415870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1051175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 133977) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-10-22 |