| NPI | 1871138917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10025883) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144465) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX AP144465) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2025-11-26 |