| NPI | 1740846211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002376) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002376) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP141737) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-03-13 |