| NPI | 1467820290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R254656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R254656) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128974) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2026-05-22 |