| NPI | 1548069842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1192320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 845650) |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-07-15 |