| NPI | 1811381262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127769) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127769) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-03-19 |