| NPI | 1134770159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP141970) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP141970) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP141970) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-02-24 |