| NPI | 1568547818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX PA05023) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-03-13 |