| NPI | 1518610823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 95020661) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 867973) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 95020661) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: TX 95020661) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020661) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 95020661) | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-10-13 |