| NPI | 1093282014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1133365) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 323800) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-05-28 |