| NPI | 1134231780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP146112) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: TX 654399) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-09-05 |