NPI | 1124612684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP1154144) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 826532) |
Enumeration Date | 2021-02-25 |
Last Update Date | 2024-07-11 |