| NPI | 1225592702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139011) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 847403) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP139011) | |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2022-04-12 |