NPI | 1154574747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP117248) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP117248) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2025-06-20 |