| NPI | 1609275312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145165) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 118679) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP145165) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-05-08 |