| NPI | 1669913489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2023063370) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 791719) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP133408) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2023-08-16 |