| NPI | 1912476268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 664659) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP139686) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2021-02-25 |