| NPI | 1609132521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP121675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP121675) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 653053) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2024-04-26 |