| NPI | 1174161491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144047) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 799848) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-18 |