| NPI | 1043925522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8306337-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 83063374405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8306337-8900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8306337-3102) | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2026-07-21 |