| NPI | 1316337215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127499) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP127499) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 785075) | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2024-08-21 |