| NPI | 1538528203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP130374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130374) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03575) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-06-10 |