| NPI | 1942630959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP220808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 659149) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125095) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004407) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125095) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-01-14 |