| NPI | 1366969230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1163261) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 92754) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120557) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2025-05-08 |