| NPI | 1932796422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: TX PA17887) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA17887) |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2024-09-18 |