| NPI | 1063839686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 7837438) |
| 163W00000X Registered Nurse (Licence: TX 783438) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2020-12-09 |