| NPI | 1952721920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1105342) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 852367) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-03-28 |