| NPI | 1538315692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 642444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WA2000X Registered Nurse, Administrator (Licence: TX 642444) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2024-09-16 |