| NPI | 1285198911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140576) |
| 163W00000X Registered Nurse (Licence: TX 754880) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2022-10-31 |