| NPI | 1598428682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1058248) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 869655) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-07-12 |