| NPI | 1043236383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 440977) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 061008) |
| 363L00000X Nurse Practitioner (Licence: TX 440977) | |
| 363L00000X Nurse Practitioner (Licence: TX N4358) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 440977) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2012-07-16 |