NPI | 1922643212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1201549) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 970035) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60980407) | |
Enumeration Date | 2019-11-11 |
Last Update Date | 2025-07-24 |