| NPI | 1457764672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1016496) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9304031) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9304031) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2025-12-10 |