| NPI | 1750726345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP123459) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 745526) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2017-04-21 |