| NPI | 1619491917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX PMH07250014) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134495) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2025-08-27 |