| NPI | 1568750040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 619637) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP120656) | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2022-06-28 |