| NPI | 1184415788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11585828-4405) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: UT 11585828-3102) |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-11-13 |