| NPI | 1568694917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX Ap118078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118078) |
| 163W00000X Registered Nurse (Licence: TX 605793) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2025-03-21 |