| NPI | 1114534849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2024057970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 805879) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1096798) | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2024-11-07 |