| NPI | 1215335187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127076) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP127076) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP127076) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2020-05-13 |