| NPI | 1114293065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM cnp-03267) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM cnp-03267) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 517963) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap121154) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2023-08-14 |