| NPI | 1669715470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP123413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 667143) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2023-09-23 |