| NPI | 1518570365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 766428) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 766428) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX 766428) | |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |