| NPI | 1770305914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1180787) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX 1180787) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2026-05-09 |