| NPI | 1720599558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1020379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP95007754) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TX 1020379) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA NP95007754) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-11-02 |