| NPI | 1104885086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP105046) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 232350) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 232350) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-11-20 |