| NPI | 1730625393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132870) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11022988) |
| 363L00000X Nurse Practitioner (Licence: VA 0024185638) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132870) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2024-03-21 |