| NPI | 1619353703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128398) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128398) |
| 363L00000X Nurse Practitioner (Licence: TX AP128398) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-10-11 |