| NPI | 1962629634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 626151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 626151) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2013-01-23 |