| NPI | 1275882789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP118311) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 694309) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2023-05-09 |