| NPI | 1497356752 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1028633)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3163)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1028633)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3163)  | |
| Enumeration Date | 2020-11-03 | 
| Last Update Date | 2025-09-24 |