| NPI | 1538595285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 867214) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2020-10-06 |