| NPI | 1558905331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004299) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11004299) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1179319) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-05-28 |