| NPI | 1558171637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2025038196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 805188) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-09-05 |