| NPI | 1245808781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1053779) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 1053779) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1053779) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-05-05 |