| NPI | 1386696367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 456276) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 456276) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-11-30 |