| NPI | 1578051066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP146002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 775429) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-04-22 |