| NPI | 1578195657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144809) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP144809) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 294538) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-07-23 |