| NPI | 1649079443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1196133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 966503) |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-09-22 |