| NPI | 1952784670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 933780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN277023) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-05-01 |