| NPI | 1215307715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128934) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024286045) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61500520) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128934) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2024-08-15 |