| NPI | 1992288310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP138724) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX AP138724) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2022-02-05 |