| NPI | 1972870178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121132) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP121132) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 864851) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 58107) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 864851) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 58107) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2025-05-05 |