| NPI | 1245239920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP107225) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 226306) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 226306) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2018-10-03 |