| NPI | 1861213787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11040508) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2025007015) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 2084P0800X) | |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-10-02 |