NPI | 1255648051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP127119) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R26473) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 868542) | |
Enumeration Date | 2010-09-01 |
Last Update Date | 2020-12-04 |