| NPI | 1104306786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 813031) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 813031) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2021-10-18 |