| NPI | 1902893324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX AP107832) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP107832) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP107832) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP107832) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2025-03-12 |