| NPI | 1982471173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11031794) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35109) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1166378) | |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2026-05-06 |