| NPI | 1336517127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128011) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AG0315045) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-06-25 |