| NPI | 1326035890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 571047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 571047) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22962) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2022-08-09 |