| NPI | 1013536994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145825) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2022-08-23 |