| NPI | 1669938171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 61355) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140702) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP140702) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-11-10 |