| NPI | 1033684642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202214129NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404190) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139192) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP139192) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2026-06-10 |