| NPI | 1386292001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP142883) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: TX AP142883) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-08-16 |