| NPI | 1831398981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP109391) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 617631) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 617631) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-05-09 |