| NPI | 1942670716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1100681) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 186611-30) |
| 163W00000X Registered Nurse (Licence: WI 186611-30) | |
| 363L00000X Nurse Practitioner (Licence: TX F06231698) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-10-08 |