| NPI | 1467818070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX ap140055) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap140055) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX ap140055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 250384) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 250384) | |
| 363L00000X Nurse Practitioner (Licence: AZ 250384) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2025-09-09 |