| NPI | 1831234376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP108179) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP108179) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 450339) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-07-14 |