| NPI | 1942645627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1073709) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 766269) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-06-07 |