| NPI | 1033955521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1195185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 966335) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1195185) | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-10-24 |