| NPI | 1790249589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1209880) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11040941) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN183905) | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2026-01-16 |