NPI | 1043827199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1077767) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F11190327) |
363LF0000X Nurse Practitioner, Family (Licence: TX 1077767) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA F11190327) | |
Enumeration Date | 2020-09-23 |
Last Update Date | 2025-09-07 |