| NPI | 1851149371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 14220754-4405) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 13899503-3102) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2025-10-28 |