| NPI | 1669953972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP138565) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP138565) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP138565) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-03-13 |