| NPI | 1235564246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1089455) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 652624) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2022-11-22 |