| NPI | 1215319983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131133) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002413) |
| 363L00000X Nurse Practitioner (Licence: TX AP131133) | |
| 363L00000X Nurse Practitioner (Licence: CA 95002413) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-11-21 |