| NPI | 1043827199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1077767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F11190327) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1077767) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA F11190327) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-09-07 |