| NPI | 1245787365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP131915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 679398) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-04-08 |