| NPI | 1821564535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1031805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011095) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1031805) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01361700) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2025-06-02 |