| NPI | 1518316793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 813356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131054) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-07-17 |