| NPI | 1447546387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131713) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R81444) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 255170) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-03-07 |