| NPI | 1336454909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP119196) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 10368) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209027980) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 683709) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2026-04-16 |