| NPI | 1275062150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132117) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA SP020482) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP020482) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2025-09-29 |