NPI | 1205226222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2022096724) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP 127366) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2023-03-19 |