| NPI | 1568604312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP117716) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 705864) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2022-07-05 |