NPI | 1073944781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1064431) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2278002) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2025-08-06 |