| NPI | 1336774801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2019075997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145527) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-06-29 |