| NPI | 1679374425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1215831) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 87431) |
| 163W00000X Registered Nurse (Licence: TX 986667) | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2026-02-09 |