| NPI | 1689071060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6840870-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 6840870-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 6840870-8900) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-06-18 |