| NPI | 1326521543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 267381-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 267381-4405) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28201) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2026-03-13 |