| NPI | 1548578578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734308) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-08-11 |