| NPI | 1982574919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1216925) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 330641) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 86343) | |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |