NPI | 1265055511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1006418) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 880729) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11016275) | |
Enumeration Date | 2020-05-21 |
Last Update Date | 2022-09-22 |