| NPI | 1508287186 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124852) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX F1113167) | 
| Enumeration Date | 2013-12-26 | 
| Last Update Date | 2020-03-27 |