| NPI | 1992248249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132622) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP132622) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP132622) | |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2022-06-10 |