| NPI | 1255363800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 554888) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP107641) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP107641) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2026-07-09 |