| NPI | 1629548532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 1022296) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 329946) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-10-16 |