| NPI | 1417159484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 535103) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP108207) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120387) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-03-21 |