| NPI | 1326650821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1008919) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 1008919) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2025-10-21 |