| NPI | 1750211215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 620276) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TX 620276) |
| 163WC1500X Registered Nurse, Community Health (Licence: TX 620276) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 620276) | |
| 163WS0200X Registered Nurse, School (Licence: TX 620276) | |
| 163WX0200X Registered Nurse, Oncology (Licence: TX 620276) | |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-05-19 |