| NPI | 1568694917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP118078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 605793) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP118078) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP118078) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2023-01-09 |