| NPI | 1912548736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 976281) |
| 363L00000X Nurse Practitioner (Licence: TX AP142804) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-09-18 |