| NPI | 1780275859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1030129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP1030129) |
| 163W00000X Registered Nurse (Licence: TX 892219) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-11-13 |