NPI | 1184264277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144232) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 402953) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95017454) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IL 209021104) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TX AP144232) | |
Enumeration Date | 2020-01-07 |
Last Update Date | 2024-07-18 |