| NPI | 1467927939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 878004) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-10-08 |