| NPI | 1689032617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP128933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128933) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128933) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2023-07-12 |