| NPI | 1871115261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 891744) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN AP145527) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2025-01-13 |