| NPI | 1770040487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap139700) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 73266) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap139700) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2023-12-26 |