| NPI | 1194795351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133066) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9179348) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-198645) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 74372) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-198645) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 74372) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP133066) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9179348) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2025-03-19 |