| NPI | 1700443736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1088598) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TX 942000) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-08-11 |