| NPI | 1912300740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126477) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61400286) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-07-31 |