| NPI | 1073943155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124211) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014161) |
| 164W00000X Licensed Practical Nurse (Licence: TX 788112) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2021-04-29 |