| NPI | 1467820480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128240) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 76563) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 76563) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2025-11-19 |