| NPI | 1922435650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP124503) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 776176) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP124503) | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2024-02-15 |