| NPI | 1053757179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP123576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 711462) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP123576) | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2023-12-14 |