| NPI | 1831548338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019492) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131026) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131026) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-06-04 |