| NPI | 1073493334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1228158) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD 200262) |
| 163W00000X Registered Nurse (Licence: SD R041005) | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2026-06-29 |