| NPI | 1386644821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 760444) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 10875) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2024-08-13 |