| NPI | 1033846654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1027765) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1027765) |
| 163W00000X Registered Nurse (Licence: TX 870666) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2026-04-24 |