NPI | 1134231780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP146112) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 654399) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-09-05 |