| NPI | 1154597748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP115729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115729) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101841-C-NP) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2024-07-07 |