| NPI | 1417449356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145932) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 887998) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-09-02 |