| NPI | 1518917798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP114312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 583243) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-03-20 |