| NPI | 1043554991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1061201) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-10-29 |