| NPI | 1932951522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1154274) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: NY 224137) |
| 163W00000X Registered Nurse (Licence: TX 948801) | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |