| NPI | 1982395505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1124022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 203642) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101767-C-NP) | |
| 163W00000X Registered Nurse (Licence: TX 1124022) | |
| 163W00000X Registered Nurse (Licence: MA 2327945) | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-11-07 |