| NPI | 1902415870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1051175) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404902) |
| 163W00000X Registered Nurse (Licence: IA 133977) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2025-12-09 |