| NPI | 1588201891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1074742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F11190555) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2023-08-04 |