| NPI | 1962582999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 524607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 524607) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX 524607) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-07-23 |