| NPI | 1164034385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1022932) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F08200467) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-05-08 |