| NPI | 1891300687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1048898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 891820) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1048898) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-02-07 |