| NPI | 1780192203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP136069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3085) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 355666) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103496-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136069) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2025-03-10 |