| NPI | 1487044897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131032) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 293115) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95000421) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 293115) | |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2026-05-07 |