| NPI | 1861022402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 349228) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704382631) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404107) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144722) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2025-07-24 |