| NPI | 1326563016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP134755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134755) |
| 363L00000X Nurse Practitioner (Licence: NM 59518) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-05-24 |