| NPI | 1659856532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX API138558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138558) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-05-21 |