| NPI | 1154324671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1110104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP04209) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP04209) | |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2024-05-03 |