| NPI | 1538141361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 610758) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 610758) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-06-16 |