| NPI | 1912607946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 33442) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1112239) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 212088) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |