| NPI | 1235426172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP119173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 723667) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 723667) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2022-08-30 |