| NPI | 1689211500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144295) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP144295) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-08-24 |