| NPI | 1942670716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX F06231698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 186611-30) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 186611-30) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2024-07-17 |