| NPI | 1538463559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TX AP13118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP119703) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2022-01-12 |