| NPI | 1609405570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1136990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R236234) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-09-25 |