| NPI | 1447627187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 11292096) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128091) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2022-04-20 |