| NPI | 1750891214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 930911) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2023-01-27 |