| NPI | 1730723933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP143424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP143424) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP143424) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-09-21 |