| NPI | 1275034480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 7483) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7483) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-05-16 |