| NPI | 1033845417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1012540) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 1012540) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1012540) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-06-06 |