| NPI | 1538446687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121133) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17267) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 737945) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2019-04-08 |