| NPI | 1841777000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP138130)  | 
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX AP138130)  | 
| Enumeration Date | 2018-07-20 | 
| Last Update Date | 2025-10-01 |