| NPI | 1760959696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP139122) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139122) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034910) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-10-27 |