| NPI | 1821832064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13992091-4405) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 13992091-8900) |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2025-11-19 |