| NPI | 1144868530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 32669) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 32669) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 32669) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: TX 32669) | |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |