NPI | 1215307715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128934) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024286045) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61500520) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128934) | |
Enumeration Date | 2015-09-28 |
Last Update Date | 2024-10-02 |