| NPI | 1265783179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 764715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 764715) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-08-01 |