| NPI | 1689969297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120401) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 716082) |
| 363L00000X Nurse Practitioner (Licence: TX 716082) | |
| 363L00000X Nurse Practitioner (Licence: TX AP120401) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-09-26 |