| NPI | 1144849191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1069770) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 887018) |
| 163WH0200X Registered Nurse, Home Health (Licence: TX 887018) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1069770) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-04-05 |