| NPI | 1922587104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1014582) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 77301) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231611) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010260) | |
| 163W00000X Registered Nurse (Licence: TX 612840) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-01-11 |