| NPI | 1700671013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1207424) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024194494) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 919271) | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-09-03 |