| NPI | 1821032665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP113576) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 532657) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-03-13 |