| NPI | 1134580814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP130490) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130490) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130490) | |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-11-15 |