NPI | 1154045789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1075246) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61358770) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 283038) | |
Enumeration Date | 2022-09-27 |
Last Update Date | 2024-08-02 |