| NPI | 1770455834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1213578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0106356-C-NP) |
| 363L00000X Nurse Practitioner (Licence: NM 88205) | |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2026-04-23 |