| NPI | 1033532932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124880) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 752993) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP124880) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2024-10-04 |