| NPI | 1730728627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140303) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26184) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 26184) | |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-10-07 |