| NPI | 1407100787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP122759) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122759) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 902315) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2022-01-11 |