| NPI | 1700485950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1016507) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 696766) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2025-12-08 |