| NPI | 1750628020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141196) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 775242) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2022-09-14 |