| NPI | 1114120680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP115941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 681148) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP115941) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-05-17 |