| NPI | 1740360213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 105249) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 540629) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP105249) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-12-21 |