| NPI | 1881011385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1107104) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NY 682451) |
| 163W00000X Registered Nurse (Licence: TX 903815) | |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2024-02-14 |