| NPI | 1659842987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139962) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73475) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11273) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-09-15 |