| NPI | 1134901432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1108819) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 1108819) |
| 163W00000X Registered Nurse (Licence: CA 95343841) | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2026-06-19 |