| NPI | 1063712081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136598) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 136598) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP136598) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2022-03-25 |