| NPI | 1568036044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1228861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904472) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1228861) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904472) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 218968) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 218968) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2026-05-26 |