| NPI | 1619169752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1056729) |
| 372500000X Chore Provider (Licence: TX 738171) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2025-06-01 |