| NPI | 1518477645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135715) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 700992) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 135715) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-06-03 |