| NPI | 1033654397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AR61226339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX AP131660) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX AP131660) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP131660) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012185) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2025-07-24 |