| NPI | 1972054716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1088688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 896510) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-08-02 |