| NPI | 1497358105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1032987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 820468) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1032987) | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-05-26 |